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Trial registered on ANZCTR
Registration number
ACTRN12618001473257
Ethics application status
Approved
Date submitted
15/08/2018
Date registered
3/09/2018
Date last updated
3/09/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
Comparison of the clinical performance of airway devices in geriatric patients
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Scientific title
Comparison of the clinical performance of i-gel, proseal LMA and Classic LMA in geriatric patients
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Secondary ID [1]
295809
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none
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
-Urologic conditions
309243
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-General surgery conditions
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Condition category
Condition code
Anaesthesiology
308119
308119
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0
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Other anaesthesiology
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
All supraglottic airway devices (SGAD) were inserted by 5 years experienced anesthesist.
Group C: c-LMA inserted
Group P: Proseal LMA inserted
Group I: i-gel inserted
c-LMA with an inflatable cuff; is an airway device that provides an easier and more reliable airway than the facial mask, while protecting it from the disadvantages of endotracheal intubation.
p-LMA is an airway device developed by modifying c-LMA. The application of high-pressure positive ventilation is one of the advantages that the drain tube near the ventilation tube can be emptied stomach.
i-gel thermoplastic elastomer structure, it flexes at body temperature and fully conforms to the supraglottic texture, thus minimizing air leakage.It has the drain tube near the ventilation tube.
Insertion time, first-time insertion success rate, oropharyngeal leak and peak pressure, leak fraction and complications were recorded.
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Intervention code [1]
312139
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Treatment: Devices
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Comparator / control treatment
The patients were randomized into three groups with the sealed envelope method.
- i-gel group inserted (C0mparator Group),
- proseal group inserted proseal (C0mparator Group),
-c-LMA group inserted c-LMA (Control Group)
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Control group
Active
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Outcomes
Primary outcome [1]
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oropharyngeal leak pressure:
After obtaining an effective and stable airway, leak pressure was assesed by closing the circuit (expiratory line) and allowing a fresh gas flow of 3 L/min to build airway pressure until audible leak was heard over the mouth (not permitted to exceed 40 cm H2O.
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Assessment method [1]
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Timepoint [1]
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Aproximately 3 minute after obtaining an effective and stable airway
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Secondary outcome [1]
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Airway device insertion time: The time taken from the removal of the face mask to appear on the capnogram on anesthesia machine monitor. It will be followed by an anesthetist using monitors timer.
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Assessment method [1]
350669
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Timepoint [1]
350669
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The time (minute) the capnogram is seen on the anesthesia machine monitor.
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Secondary outcome [2]
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Directly observed. Succesful placement was defined as a square wave tracing on the capnography with normal end tidal CO2 values.
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Assessment method [2]
350670
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Timepoint [2]
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The time (minute) the capnogram is seen on the anesthesia machine monitor.
Two trials will be allowed, and if they fail, they will be passed to the other SGADs. Two others will be allowed to try. If it fails again, the patient will be entubated.
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Eligibility
Key inclusion criteria
ASA I-II who were scheduled to undergo hernioraphy or urologic surgery
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Minimum age
65
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Patients with respiratory
tract disease, known airway problems or any
condition that increases the risk of gastro-oesophageal
regurgitation were excluded.
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
17/09/2018
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
105
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
20775
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Turkey
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State/province [1]
20775
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Address [1]
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Country [1]
300404
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Primary sponsor type
Individual
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Name
Reyhan Polat
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Address
Health Science University
Diskapi Yildirim Beyazit Education and Research Hospital
Diskapi/Ankara-Turkey
06550
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Country
Turkey
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
299861
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Country [1]
299861
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
301210
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Diskapi Yildirim Beyazit Education and Research Hospital Ethics Comitee
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Ethics committee address [1]
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Diskapi Yildirim Beyazit Education and Research Hospital Diskapi/Ankara-Turkey
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Ethics committee country [1]
301210
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Turkey
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Date submitted for ethics approval [1]
301210
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Approval date [1]
301210
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11/06/2018
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Ethics approval number [1]
301210
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51/20
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Summary
Brief summary
Patients undergoing elective short duration surgery (<1-2 h) will be participated in this study. All devices will inserted into each patient in random order. Patients will be premedicated with 7.5 mg oral midazolam 15 min prior to surgery. Standard monitoring will be applied (ECG, BP, SpO2) and the anaesthesia will conducted according to local standards. Neuromuscular blocker will not administered. All supraglotic airway devices (c-LMA, proseal LMA and i-gel) will inserted in a standardised manner according to the manufacturers' instructions. Insertion time, first-time insertion success rate, oropharyngeal leak and peak pressure, leak fraction and complications will be recorded.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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A/Prof Reyhan Polat
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Address
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Heltah Sciences University
Diskapi Yildirim Beyazit Education and Research Hospital
Diskapi/Ankara-Turkey
06550
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Country
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Turkey
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Phone
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+90 532 6734310
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Reyhan Polat
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Address
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Heltah Sciences University
Diskapi Yildirim Beyazit Education and Research Hospital
Diskapi/Ankara-Turkey
06550
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Country
86235
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Turkey
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Phone
86235
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+90 532 6734310
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Fax
86235
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Email
86235
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[email protected]
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Contact person for scientific queries
Name
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Reyhan Polat
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Address
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Heltah Sciences University
Diskapi Yildirim Beyazit Education and Research Hospital
Diskapi/Ankara-Turkey
06550
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Country
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Turkey
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Phone
86236
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+90 532 6734310
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Fax
86236
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Email
86236
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Comparison of clinical performance of supraglottic airway devices in elderly patients: A prospective randomized trial.
2021
https://dx.doi.org/10.5222/jarss.2021.27147
N.B. These documents automatically identified may not have been verified by the study sponsor.
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